CLAYTON ALAN KEAHI SULLIVAN

VISTA, CA
NPI1609542711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
CLAYTON ALAN KEAHI SULLIVAN SUDRC
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
Mailing Address
CLAYTON ALAN KEAHI SULLIVAN SUDRC
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
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